Fear of Susceptible to Infectious Disease Experienced among the Hospitalized Patients in the University of Calabar Teaching Hospital, Calabar

This study sought to investigate the fear of susceptible to infectious disease experienced among the hospitalized patients in the University of Calabar Teaching Hospital. Two research questions one hypothesis were used. Do hospitalized patients in University of Calabar Teaching Hospital, Calabar have fear of susceptibility to infectious disease? What support do hospitalized patients in University of Calabar Teaching Hospital, Calabar received from family. The hypothesis states that; there is no significant relationship between fear among hospitalized patients and the support they received from family members. Literature was reviewed based on the research variables. The research instrument used in collecting data for analysis was a questionnaire administered to one hundred (100) hospitalized patients in University of Calabar Teaching Hospital, Calabar. Their responses were analyzed using frequencies, percentages and Pearson product moment correlation analysis and the following results were obtained, Results in Table 3 indicated that 68(68%) of the respondents agreed that they have received a significant support from their family members during the period of their hospitalization while 32(32%) disagreed. 24(24%) said the financial support they received from family members was too minimal while 76(76%) said it was not. 78(78%) agreed that their family members frequently visited them while 22(22%) disagreed. The above data, therefore, showed that hospitalized patients in UCTH, Calabar received both moral and financial support from family members. In line with the views expressed by the patients. It was recommended that more nurses should be employed to help avoid contacting the communicable disease. This implies that, the nurses would be able to manage two patients at a time instead of taking care of a large number of patients.

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Challenges and Counselling Needs of Sickle Cell Patients Attending University of Ilorin Teaching Hospital

Journal of Science and Sustainable Development ◽

10.4314/jssd.v5i1.5 ◽

2013 ◽

Vol 5 (1) ◽

pp. 57-63

Author(s):

LA Yahaya ◽

IA Durosaro ◽

MA Nuhu

Keyword(s):

Public Health ◽

Genetic Counselling ◽

Sickle Cell ◽

Teaching Hospital ◽

Public Health Education ◽

Counselling Needs ◽

Research Questions ◽

The University ◽

Frequency Counts ◽

Cell Disorder

This study investigated the challenges and counselling needs of sickle cell patients attending the University of Ilorin Teaching Hospital (UITH) Kwara State, Nigeria. Purposive sampling was used to select 120 literate regular and non-regular patients of the hospital. A researcher developed instrument titled “Challenges and Counselling Needs of Sickle Cell PatientsQuestionnaire” (CCNSPQ) was used to elicit information from these participants. Five research questions raised in the study were answered using frequency counts, means and ranking and Analysis of Variance was used to test the hypotheses formulated at the .05 level of confidence. Thefindings showed that excessive bone, abdominal and chest pains are the major challenges confronting the respondents while occasional embarrassment due to unexpected sickness accompanying sickle cell disorder and stigma are the most serious counselling needs. There was nosignificant difference in the challenges of sickle cell patients based on age but the respondents had significantly different counselling needs. Therefore, it is recommended that guidance and public health education be put in place to reduce the stigmatisation of sickle cell patients. In addition, wellequipped clinics should be provided to facilitate early treatment. Genetic Counselling should also be provided both in the school and the community to prevent future occurrence of sickle cell disorder.Keywords • Sickle cell disorder • Genetic Counselling • Higher Education

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Clinical profile of patients of poisoning admitted in emergency department in a teaching hospital, MAMC, Agroha, Haryana, India

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20173604 ◽

2017 ◽

Vol 5 (8) ◽

pp. 3767

Author(s):

Mohd Y. Shah ◽

Mohd M. Naqash ◽

Faisal Y. Shah ◽

Faizan Y. Shah

Keyword(s):

Emergency Department ◽

Teaching Hospital ◽

Agricultural Land ◽

Suicide Attempts ◽

Family Members ◽

Clinical Profile ◽

Precipitating Factors ◽

Number Of Patients ◽

Catchment Areas ◽

History Of

3 Million Serious poisoning (1 million accidentals and 2 million suicide attempts) occur each year worldwide.1 India ranks second in Asia in annual pesticide consumption.2 A study was conducted (1 year) wherein patients with history of poisoning were admitted from different catchment areas of hospital (30 Km radius). The total number of patients admitted during study period was 61. Patients had consumed these agents to attempt suicide. Out of 61 patients 26 were male and rest 37 were females. 18 patients died and rest survived. The precipitating factors in the suicide attempts were stranded relations with husband/wife, failure in examination and confrontation with parents. The availability of these poisonous substances in the household make people to consume these agents on slight provocation.3 All our patients, though majority were literate, were from families who had agricultural land and majority of their family members were farmers. Table 1 and Table 2 depict the characteristics and clinical profile of 61 patients admitted during the study period.

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Social Features and Morbidity Patterns of Women with Obstetric Fistulae at an Obstetric Fistula Centre in a University Teaching Hospital in Jos, Nigeria

European Journal of Medical and Health Sciences ◽

10.24018/ejmed.2021.3.4.844 ◽

2021 ◽

Vol 3 (4) ◽

pp. 44-52

Author(s):

Aaron Ezekiel ◽

C. Okafor Kingsley ◽

J. M. Ijairi ◽

Ayobami A. Mufutau ◽

Steve T. Olaniyan ◽

...

Keyword(s):

Teaching Hospital ◽

Low Income ◽

Rural Areas ◽

Financial Support ◽

Obstetric Fistula ◽

Family Members ◽

University Teaching ◽

Foot Drop ◽

The Social ◽

Social Features

Obstetric fistulae are largely preventable surgical conditions. Literature has shown that it is common among the low income, less privileged and marginalized members of the community. It affects mainly the poor, young, illiterate girls, and women in the remote rural areas of the world, where access to emergency obstetric care, family planning services and skilled birth attendants are unavailable. And when available are poorly utilized due to cost, distance, and other challenges. This study seeks to identify the social features and morbidity characteristics of obstetric fistulae in women at the fistula center in Bingham University Teaching Hospital, Jos, Plateau State, Nigeria. This was a descriptive study done in 2019 among all the patients who attended the obstetric fistula Centre at Bingham University Teaching Hospital. An Interviewer-administered structured questionnaire was used, and it looked at social and health aspects of obstetric fistulae in all 49 patients at the center. Data was analyzed using a computer software; Statistical Package for the Social Science (SPSS) version 20.0. Most of patients had some form of financial support especially from family members, husbands, parents, and friends. Most of the women had their relationships affected. Majority were separated, and relationships strained and had lost financial support from their spouses. Sexual Intercourse was adversely affected. On surgical outcome, 16% became completely dry and leaking had ceased, a third (36.7%) was still leaking urine after the surgery. Almost all the women have had no childbirth after the repair. Women had mental health issues like depression, anxiety, tension headache, fatigue, and suicidal ideation. Participants also had gynaecological morbidities like vulval dermatitis, irregular menstrual flow, abnormal vaginal discharge, and dysuria. These women also had lower abdominal pains, loss of weight, backache, and foot drop. Majority of the children did not survive after the pregnancy that led to the obstetric fistula. Women should seek financial support from family members to avoid delays in seeking help during pregnancy. Communities are encouraged to continue to give moral, emotional, financial, and social support to fistula patients. Healthcare workers should take advantage of the fact that most women attended ANC to educate and enlighten pregnant women on causes, risk factors, social and health consequences of obstetric fistulae. Government should initiate poverty alleviation activities and help reduce out of pocket expenses for healthcare via health insurance.

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The pattern of communicable disease in patients admitted into the children medical ward of the University of Port Harcourt Teaching Hospital

Port Harcourt Medical Journal ◽

10.4314/phmedj.v1i3.38875 ◽

2007 ◽

Vol 1 (3) ◽

Author(s):

BE Otaibge ◽

RO Ugwu

Keyword(s):

Teaching Hospital ◽

Communicable Disease ◽

Medical Ward ◽

Port Harcourt ◽

The University

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Inpatient Hypercoagulable Work-up in a Community Teaching Hospital: A Preventable Cost with No Added Benefit

Blood ◽

10.1182/blood-2020-134198 ◽

2020 ◽

Vol 136 (Supplement 1) ◽

pp. 26-26

Author(s):

Haritha Ackula ◽

Shekhar Patil ◽

Sandhya Maradana ◽

Masood Pasha Syed ◽

Ahmad Daniyal Siddiqui

Keyword(s):

Venous Thromboembolism ◽

Teaching Hospital ◽

Conflicts Of Interest ◽

Hospitalized Patients ◽

Prior History ◽

Inherited Thrombophilia ◽

Number Of Patients ◽

History Of ◽

Thrombophilia Testing ◽

Community Teaching

Background: Thrombophilia testing in hospitalized patients is often inaccurate and rarely clinically useful especially in acute settings. Testing for inherited thrombophilia is often done in the setting of recurrent unprovoked venous thromboembolism (VTE). Several prospective studies have shown that heritable thrombophilia status is not statistically associated with recurrent VTE. Additionally, such testing may be confounded by ongoing disease or treatment. The cost per thrombophilia panel testing range anywhere between $1100 to $2400 based on estimation of charges billed by a large commercial laboratory. We aim to identify patterns and costs involved in inpatient thrombophilia testing in a community teaching hospital. Methods: The study was conducted as a part of our quality improvement initiative in a community teaching hospital. We performed a retrospective chart review of patients above the age of 18 years who had a clinically and radiologically confirmed diagnosis of venous thromboembolism during the year of 2016 and performed descriptive analysis. Institutional IRB was obtained and data was collected by reviewing the electronic medical records . Results: A total of 395 patients with the diagnosis of VTE were included (mean age 68.5, 54.2% female). At least one thrombophilia test was ordered in 66 of the 395 patients (16.7%). Around 38 (9.6%) patients were already on anticoagulation for atrial fibrillation/flutter, deep venous thrombosis (DVT) and pulmonary embolism (PE) among whom 5/38 (13.2%) patients underwent thrombophilia testing. Number of patients with a prior history of DVT or PE or both were 67/395(20%). Out of these, 26/67 (38.8%) patients were on anticoagulation and 14/67 (20.9%)patients underwent thrombophilia testing during their hospital stay. Only 11/395 (2.8%) patients had a family history of DVT/PE among whom 4 were tested. The approximate cost of the testing was $132,000 considering roughly $2000 per test on an average for a total of 66 tests. Discussion: Thrombophilia testing in hospitalized patients adds little if at all any value to their acute management. However, it does add a significant unnecessary avoidable cost to the hospital. Although inpatient thrombophilia testing is not supported by current guidelines for inherited thrombophilia evaluation, the testing is often done in hospitalized patients with recurrent thromboembolism. Learning the pattern of thrombophilia testing in hospitalized patients will help us implement measures to prevent unnecessary testing and the significant costs associated with it. Conclusion: With the increasing emphasis on value-based health care, thrombophilia testing should be considered only if it affects overall patient management and preferably in an outpatient setting with appropriate indications. Disclosures No relevant conflicts of interest to declare.

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Prevalence and Pattern of Skin Diseases among School Age Children at the University of Port Harcourt Teaching Hospital, Nigeria: A Hospital Based Study

Asian Journal of Research in Infectious Diseases ◽

10.9734/ajrid/2020/v3i430134 ◽

2020 ◽

pp. 29-36

Author(s):

D. D. Altraide ◽

B. A. Alex-Hart

Keyword(s):

Teaching Hospital ◽

Skin Disease ◽

School Health ◽

Skin Diseases ◽

School Age Children ◽

School Age ◽

Dermatology Clinic ◽

Port Harcourt ◽

Number Of Patients ◽

The University

Background: Skin diseases are common among school age children. In the absence of population based studies, data from hospital based studies could be a pointer to the enormity of the problem within the community. Objective: To evaluate the prevalence and pattern of skin diseases among school age children at the University of Port Harcourt Teaching Hospital (UPTH). Materials and Methods: This was a retrospective review of the records of all children aged 6-18 years seen at the dermatology clinic of the University of Port Harcourt Teaching Hospital from January 1, 2016 to December 31, 2019. Socio-demographic characteristics and diagnosis were obtained from the clinic register. Data was analyzed using SPSS version 20.0. Results: Three hundred and forty- seven patients aged 6 -18 years were seen over the period under review. Males were 165 (47.55%) and females were 182 (52.45%). The mean age was10.79±3.35 years. The overall prevalence of skin disease was 16.3%. The five most common diagnoses were Papular urticaria 10.35%, Scabies 10.08%, Atopic dermatitis 8.72% and Dermatophyte infections 8.17%. One hundred and two (29.4%) patients out of the 347 patients with skin diseases, had transmissible skin diseases of which scabies 37 (36.27%) was the commonest.The commonest Dermatophyte infection was Tinea corporis 15 (50.00%), followed by Tinea capitis 7 (23.33%). Conclusion: School age children made up significant number of patients seen at the dermatology clinic at UPTH and almost a third of them had transmissible skin disease. An effective School Health Programme will curb the spread of transmissible skin disease within schools in Port Harcourt.

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Pattern and Outcome Dermatological Admission at the University of Port Harcourt Teaching Hospital Rivers State

Journal of Advances in Medicine and Medical Research ◽

10.9734/jammr/2021/v33i1030909 ◽

2021 ◽

pp. 53-58

Author(s):

D. Altraide Dasetima ◽

Otike-Odibi Bolaji

Keyword(s):

Teaching Hospital ◽

Skin Diseases ◽

Tertiary Institution ◽

Female Ratio ◽

Surgical Subspecialty ◽

Port Harcourt ◽

Number Of Patients ◽

Male Female Ratio ◽

Medical Wards ◽

The University

Introduction: Dermatology is primarily an outpatient clinical and surgical subspecialty, but a substantial number of patients need in patient care for adequate management. In recent years, there is a rise in the number of inpatient dermatological admissions and an increase in spending. Rarely, skin diseases can be fatal. Aims and Objectives: To analyze the disease patterns and clinical outcomes of dermatological patients admitted on the medical wards of a tertiary institution in southern Nigeria. Materials and Methods: This study involves a retrospective analysis of the admission records of consecutive in patients with a dermatological diagnosis admitted at the university of Port Harcourt teaching hospital from January 2014 to July 2020. The data obtained were statistically analysed with emphasis on the patient’s demographic profile, clinical diagnosis, final outcome, and duration of admission. Results: A total of 68 patients were admitted into our center during this time. Female outnumbered males with male female ratio of 1: 2.2. Infections (53 patients, 77.9%) were the most frequent reason for admission, followed by autoimmune disorders (5 patients, 7.4%), inflammatory causes, drug reactions and cutaneous manifestation of inter diseases had 3 patients each (4.4%). A patient was classed as idiopathic (1.5%).

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